NPI | 1346428174 |
---|---|
Other Name | SPS-INTERNAL MEDICINE WEST FOURTH ST |
Entity Type | Organization |
Authorized Contact | CHARLES SANTANGELO Executive VP CFO 570-321-3171 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2008-02-04 |
Last Update Date | 2010-12-15 |